| Organization Name: | JEFFREY S. WUNNING, DPM, LLC. |
| NPI Number: | 1023412038 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL F. BARRON (VICE PRESIDENT) |
| Mailing Address: | 950 Forestbrook Ln Painesville |
| State: | OH US |
| Postal Code: | 440777604 |
| Phone Number: | 4195242875 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2014 |
| NPI Last Update Date: | 10/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 003661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |